Not really--there are medications, but they're complicated and have side-effects. And of course I think it's at least questionable that you have alopecia areata.
Dr. Rockoff
thank you doc for your explanation. Another point I want to make is that the last dermatologist I saw said it was some alopecia. I don't remember exactly what type, but I do remember it was a two word name that started with an A, but it wasn't androgenic alopecia. I think it might have been alopecia areata, because I do have some generalized thinning, which is what i told him (instead of specially pubic hair). Is there any real medicine that is used to treat alopecia areata, unlike hydroxyzine.
First, some basic facts:
1. Scaling of the scalp doesn not cause permanent hair loss. At most a few hairs can come out from scratching, but they grow back because the roots are still there.
2. Ejaculation of semen has nothing that I know of to do with hair loss. Testosterone affects the scalp by direct action on the follicles, not through serum (or through ejaculation.)
3. The only disease I know which can affect both scalp and pubic hair is alopecia areata. This either causes bald patches (which you don't have) or generalized loss, which would have made you not thin but quite bald by now.
In my experience, pain at the roots of the hair shaft is a symptom of worrying about the hair, not about hair disease. Apparently your last dermatologist thought so too, because he recommended hydroxyzine, which is an antihistamine and mild sedative. It doesn't treat hair.
No doubt this dermatologist didn't spell out his feeling, because many patients do no approve of psychological explanations of what they are certain is a physical problem. Nevertheless, in your case I can't think of any other way to explain your siutation, especially when you've already seen a few doctors, who clearly found nothing specifically wrong.
In other words, you are not going bald. You ought to stop thinking about your hair, because thinking is making you unhappy and uncomfortable. I hope you can bring yourself to do this. If you can't, you should get the help you need to get there.
Best.
Dr. Rockoff